42701_HOLZ, BILL & PAXON_20050811

' - - N° 42'701�
-- � ACAMA f�ibREDGE & FILL
6iG N ERAL PERMIT Previous permit #
ew Modification i-Complete Reissue ❑Partial Reissue Date previous permit issued
As authorized by the State of North Carolina, Department of Environment and Natural Resources %� O
and the Coastal Resources Commission in an area of environmental concern pursuant to I SA NCAC 7N 1 /CEO CIO U
_ les attached.
Applicant Name 6-, Il ' 1 p IXd "I 90 Z Project Location: County
Address S % Nc�1,fr D r Street Address/ State Road/ Lot/#(s)
City COP e (F- r f er e r State Ak ZIP Ff -4 c-
��
Phone # (�TL)33i- yy�� Fax # () Subdivision
Authorizedrlgent_ 4-L'/ U;Afd1 City Cc(JP �A/�P: t ZIP
❑ Cw Ww (�� TA i❑ PTS Phone # ( ) River Basin (A ik 0',
— Affected ElOEA 0 HHF ❑ IN ❑ USA ❑ WA
Cal o�� &-7LV Jou^J ( /
AEC(s): Adj. Wtr. Body
c Pws: ❑Fc:
Closest Maj. Wtn Body e5
ORW: 0 /no PNA yes /& Crit. Nab. yes / no -
Type of Project/ Activity V)
G fk-kl �r �v �A-it 3 �Joi
Pier (dock) length r --
Platform()) 77 r
Finger piers) /. A / 3?
Groin length
number
Bulkhea Riprap length 2
avg distance o snore .t
max distance offshore2—
Basin, channel X/4=0 x /
RX Y o F-
oat ramp _
Boathous9/ Ek - j 3 �� -
t
Beach Bulldozing,
Other
Shoreiine Length 7 "
�.7�n yd�3= , k-fel&, ate'
li dt X(3f-+(nc�'r OPPv
SAV.: not sure yes no
Sandbags: not sure yes no — - -
Moratorium: rVa ye9 n0
Photos: yes no
Waiver Attached: yes no - -
A building permit may be required
Notes/ Special Conditions
(Scale: .,,V-j
Aif ��t/� Cv ❑ See note on back regarding River Basin rules
/.
errl i'' 6CJ,rl 6A 01A- - l,/,44-e- 'S7/O�'
�A`� hAl.� �, V 1
Agent or �.Z
Signature P compliance statement on back of permit"
300 `" 5-�A 36
Application Fee(s) Check #
Hhdoi
Issuing Date _ /Fxp(tation Date
CA,Arrd- L J-09031491.9
Local PlanningJudisdiction Rover File Name

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